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Lifting of the colon for laparoscopic-assisted colectomy for colon and rectal cancer.

BACKGROUND AND OBJECTIVES: Laparoscopic-assisted colectomy for colon and rectal cancer causes less surgical trauma than does open colectomy. However, current methods are more costly and require highly skilled staff. In addition, the technique for lymphadenectomy has yet to be standardized. We developed a technique that uses a nylon suture to elevate the colon. This method reduces costs without compromising the completeness of the resection. METHODS: Three trocars are introduced and a 1-0 nylon suture is passed into the abdominal cavity and through the mesocolon. The colon is retracted anteriorly and is fixed by this suture to the abdominal wall. The main mesenteric vessels are under tension, and lymph node dissection is performed easily. This method requires only 2 surgeons, an operator, and a scopist, because the colon is fixed to the abdominal wall. In addition, the working space is more stable because the colon is fixed to the abdominal wall. The procedure is relatively independent of the skill of the first assistant. RESULTS: From April 2000 to August 2002, this method was performed in 52 patients. The mean number of dissected lymph nodes was 16.9+/-9.0 (range, 6 to 41). Nine patients had lymph node metastases (17.3%). One patient developed hepatic recurrence; all patients are alive. No complication occurred that was related to lifting the colon. CONCLUSIONS: Using a suture to lift the colon is a useful method for performing laparoscopic-assisted colectomy with lymphadenectomy. This method reduces the number of surgical staff and the expense of the procedure.

Colectomy↗

Lift-laparoscopic total hysterectomy as a routine procedure.

In this study, laparoscopic hysterectomy was done with a special lift system that elevates the abdominal wall without carbon dioxide (CO2) insufflation. During this procedure, bipolar diathermy scissors also were used, which disconnected the uterus from its vessels and ligaments. The uterus was then removed through the vagina. In 403 cases, variables including operation time, complication rate, blood loss, postoperative pain, hospital stay, vaginal discharge, and convalescence time were examined. Compared with other laparoscopic methods [laparoscopic-assisted vaginal hysterectomy (LAVH), supracervical hysterectomy, and total laparoscopic hysterectomy], all those examined showed better results. Further advantages of the gasless Lift-laparoscopic total hysterectomy are lower costs and an effective "learning curve." Use of this method routinely could decrease the number of conventional-surgical hysterectomies that result in additional complications.

Adult↗

Avoiding visual tipoffs to face lift surgery. A troubleshooting guide.

As aesthetic surgeons we should look more closely at our finished products. A visible scar, distorted ear lobe or tragus, or unnatural hairline says "face lift" to a patient's friends and creates a self-conscious, unhappy patient. The modifications I have adopted of accepted techniques give a more natural look and less conspicuous scarring. They avoid the most dreaded question a patient's associates may ask: "Have you had a face lift?" The text outlines the areas where tipoffs are most prevalent and makes suggestions to minimize them. It is impossible to do inconspicuous surgery all the time, but it is possible by careful observation to minimize visual tipoffs. An unnatural tragus or bad scar should be considered as severe a complication as nerve damage. We should use as proficient avoidance techniques for one as for the other.

Humans↗

Repetitive junctional rhythm during forehead-lift surgery--a case report.

Forehead lift plastic surgery is regarded as a rather safe operation without serious cardiovascular complications. Although cardiac arrhythmias (e.g., sinus bradycardia) during such an esthetically plastic surgery have been sporadically reported in literature, repetitive junctional rhythm has not ever been recounted. In this case report, we present a 45-year-old woman who developed repetitive junctional rhythm during forehead lift plastic surgery. The possible offenders causative of the arrhythmia (e.g., oculocardiac reflex induced by repeated surgical manipulation) and the principle of perioperative management were discussed in the text.

Arrhythmias, Cardiac↗

[The endoscopically assisted forehead lift using skull cortical tunnel fixation--a report of 19 cases].

OBJECTIVE: To study the effect of the fixation on skull and thorough mobilization of the brow area on the results of the endoscopically assisted subperiosteal forehead lift. METHODS: The operation procedure included adequate subperiosteal dissection, especially at the frontotemporal transition area; complete mobilization of the brow area and fixation of the incised scalp to the skull through a cortical tunnel without tension. 19 patients received the operation. RESULTS: Long-term follow-up showed that all the 19 patients were satisfied with the surgical results. A transient frontal branch paresis happened in one case, which resolved in 3 months spontaneously without sequelae. CONCLUSIONS: Cortical tunnel fixation well keeps the brows at a lifted position and achieves persistent rejuvenation of the forehead.

Adult↗

Effects of the lifting manipulation of scalp acupuncture for raising myodynamia of the affected limbs in hemiplegic patients due to cerebral thrombosis.

OBJECTIVE: To provide a new therapy with definite quality controllable therapeutic effects for functional restoration of the affected limbs in hemiplegic patients due to cerebral thrombosis. METHOD: 180 patients with hemiplegia due to cerebral thrombosis were randomly divided into 2 groups: the treatment group (treated with scalp acupuncture by using the lifting manipulation) and the control group (treated with scalp acupuncture by using the twirling manipulation). Evaluations were given for the two groups based on the improvement of myodynamia and comprehensive functions after the treatment. RESULTS: Both groups showed increased myodynamia, but with different cured and much relieved rates (86.67% in the treatment group and 5% in the control group, P<0.01). CONCLUSION: Scalp acupuncture with the lifting manipulation can dramatically increase myodynamia of the affected limbs in hemiplegic patients due to cerebral thrombosis.

Acupuncture Therapy↗

Utilization of mandibular tori for alveolar ridge augmentation and maxillary sinus lifting: a case report.

This article reports the utilization of mandibular tori as an alternative source of autogenous bone for ridge augmentation and maxillary sinus lifting to facilitate ideal implant placement. A patient presenting bilateral mandibular tori required replacement of a missing maxillary molar and a mandibular premolar. Both areas showed ridge deficiency that required bone augmentation before implant placement. Mandibular tori were used for horizontal augmentation of the mandibular alveolar ridge and vertical augmentation of the maxillary ridge by elevation of the maxillary sinus. Adequate new bone formation was noted in both areas 6 months after grafting. Bone formed in the grafted areas showed comparable clinical features to those of native bone. Implants were successfully placed and loaded, restoring esthetics and function. Within the limitations of this observation, mandibular tori can be successfully used for ridge augmentation and sinus lifting. However, further controlled studies are needed to determine the overall benefit of this source of autogenous bone.

Adult↗

The use of negative pressure for the sinus lift procedure: a technical note.

The objective of the present report was to present a modification of the standard sinus lift procedure. The modification consists of the creation of a mechanism facilitating maxillary sinus mucosa lift by means of negative pressure and simplification of the instrumentation used for this procedure. With the change in technique, maintenance of the success and predictability rates observed in the literature is possible.

Bone Transplantation↗

[Treatment of partial maxillary adentia using the method of soft sinus lifting with one-stage implantation].

The results of examination and treatment of 83 patients with partial maxillary adentia are presented. 39 patients received a combined treatment including soft sinus lifting with a one-stage implantation according to a new method, while 44 were treated by soft sinus lifting with one-stage implantation according to a standard scheme. The effectiveness of the new method is shown. The number of complications decreased.

Adult↗

[Endoscopic surgery with the sternum-lifting method].

Fourteen years have passed since video-assisted thoracic thymectomy (VATS-T) began to be used to treat diseases of the thymus. Indications for VATS-T have been expanded by ensuring sufficient space for easy endoscope manipulation using the sternum-lifting method. A variety of VATS-T techniques are available, including the cervical approach, bilateral VATS, infrasternal approach, and others. Although these techniques have the common feature of not involving sternotomy, they differ from each other in terms of the extent of thymectomy. In Japan, bilateral VATS (involving neck incision combined with sternum lifting) or the infrasternal approach (based on the full-directional technique) is often used for extended or maximal thymectomy in myasthenia gravis patients. In a short-term prospective study, VATS-T was shown to be more beneficial than sternotomy in myasthenia gravis patients and those with noninvasive thymoma. With the overall trend toward increased performance of minimally invasive surgery, VATS-T has been more widely adopted as a surgical approach for patients with diseases of the thymus. However, as the number of patients treated with VATS-T has increased, problems specific to endoscopic surgery have become an increasing concern. Whether VATS-T can be considered truly beneficial for patients will depend on the success or failure in solving these problems and the results of long-term prospective studies on the prognosis of patients after treatment with this procedure.

Humans↗

Low back pain--back care through proper lifting technique.

The study was designed to evaluate the level of knowledge of the subjects about back care and proper lifting techniques. Two groups of subjects were taught correct lifting method and back care through practical demonstrations and illustrated diagrams. The subjects' knowledge was measured pre- and post-test, using written and practical tests. Subjects with low back pain and those without back pain both benefited from the training. The need for physiotherapists to teach back injury prevention to the general populace was highlighted.

Adolescent↗

Reduction of lumbar scoliosis by use of a heel lift to level the sacral base.

The relationship between unlevelness of the sacral base and scoliosis is unclear. A method for reducing mild lateral bend of the lumbar spine by use of a heel lift to level the sacral base was tested in adults. Special methods were used to demonstrate the weight-bearing plane of the sacral base and the angle of lateral bend radiographically. The procedure significantly decreased the unlevelness of the sacral base and significantly reduced the angle of lateral bend. The results suggest that an unlevel sacral base contributes to lumbar scoliosis and that use of a heel lift to level the sacral base in mild cases of lumbar scoliosis can be beneficial.

Female↗

Electromyographic changes of leg muscles with heel lifts in women: therapeutic implications.

The effects, in women, of heel lifts on EMG activity of the medial gastrocnemius and tibialis anterior muscles were analyzed to see whether they were different from those of men. Six women who wear high-heeled shoes regularly walked on a level floor with heel heights of zero, 2.5cm, 5.0cm, and 7.5cm. Results showed that as heel height increased, there were significant and progressive decreases in gastrocnemius and tibialis anterior EMG activity during walking. This decrease in gastrocnemius EMG activity in women is the same as in men, but the decrease in tibialis anterior EMG activity in women is opposite to that seen in men. The difference in responses of the tibialis anterior muscle between men and women may be related to the habitual use of high-heeled shoes by women. Since raising the heel decreases gastrocnemius muscle activity, thereby reducing tension in the Achilles tendon in both men and women, it was felt that heel lifts may provide a useful adjunct in the management of tendoachilles bursitis, tenosynovitis of the Achilles tendon, and postoperative management of a ruptured Achilles tendon.

Adult↗

[Reaction of the cardiovascular system with lifting and lowering of loads].

It was investigated the influence of lifting and lowering of loads on the systolic, diastolic blood pressure and on the heart rate. Male subjects had to move 20 kg and female subjects 10 kg in different ways (2 different working frequencies and 3 back bending angles). At higher working frequencies the heart rate in men and women was in the range of the physical endurance limit. An important finding was the difference in the diastolic blood pressure response during lifting and lowering of loads with the higher working frequency in men.

Adult↗

[Subperiosteal face-lift].

The "facial mask" is composed of all of the tissues lying on top of the skeleton: periosteum, deep adipose tissue, superficial musculo-aponeurotic tissue and skin. The periosteum is the intermediate zone between the skeleton, responsible for the shape of the face, and the more superficial tissues which complete the shapes and, most importantly, represent the mobile part of the face and consequently the site of facial expression. The secret of an effective "mask-lift" depends on complete subperiosteal dissection of the malar bones, zygomatic arches and orbital margins. This dissection can be performed via a coronal approach, but it is easier to start the subperiosteal dissection via a short vestibular incision. Subperiosteal dissection via a coronal incision is not only useful to lift the facial mask; it is also useful for remodelling the orbital margins and to obtain bone grafts from the parietal area in order to reinforce the glabella, check bones and nasogenial folds.

Esthetics↗

Eyebrow, face, and neck lifts for males.

Alternate locations to skin excisions adjacent to the eyebrows for correction of eyebrow ptosis have been presented. Excisions in the upper forehead or in the scalp permit flexibility in width and length of skin or scalp to be excised and may be extended laterally to produce a temporal lift which not only improves the lateral canthal area of sagging skin but also may improve the lower eyelid surgical correction results (Figs. 1 and 3). By use of adequate lipectomy and full-width platysma muscle flaps to support the new neck contour, better and longer lasting results have been accomplished. The currently used techniques for eyebrow, face, and neck lifts for males produce better and longer lasting results than could have been accomplished with previously used techniques. The continued search for improvement in techniques by many surgeons in different areas of the world has enabled these longer lasting and better results to be accomplished.

Adult↗

The coronal incision in rhytidectomy--the brow lift.

Rhytidectomy is not a routine procedure applicalbe to all patients. Variations of technique must be chosen for each individual case. Integral correction of the face is important and brow-lifting must often be done. Our criteria for selecting the coronal incision for the brow-lift are discussed and the surgical techniques are described in detail. Results are analyzed and a simple method for evaluation is presented.

Dermatologic Surgical Procedures↗

Dusting and lifting the bite print: a new technique.

Utilizing the powder and brush method employed in lifting fingerprints, one of the authors was able to lift tooth prints on the body surface of both living and dead victims. The advantages of ease, speed, and greater accuracy of detail render the procedure useful to the forensic odontologist, the medical examiner, and the on-scene evidence technician.

Bites and Stings↗